What does fact checked mean?
At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.
- The Journal of Dermatology; A Case of Allergic Urticaria Caused by Erythritol
- The Journal of Dermatology; A Case of Allergic Urticaria Caused by Erythritol
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
Dangers of Erythritol
Erythritol is a sugar alcohol that naturally occurs in peaches, melons, pears and grapes. The benefits of using erythritol as an added sweetener in foods include the fact that it is nontoxic, has antioxidant properties, provides few calories, doesn't contribute to tooth decay and has little effect on blood sugar and insulin levels. However, your body has some difficulties digesting large quantities of erythritol. In addition, erythritol can cause allergic reactions, so it isn't necessarily safe for everyone.
Digestive Issues
Although your body can usually deal with moderate amounts of erythritol, a study published in 2007 in the "European Journal of Clinical Nutrition" indicates that you might have difficulties with larger quantities 2. In comparison with sucrose, a more common sweetener, eating 50 grams or more of erythritol boosts your chances of experiencing nausea, digestive rumblings and diarrhea. Symptoms occur only at large doses for many people, but if you normally experience irritable bowel symptoms, you may have trouble when consuming smaller amounts of erythritol-sweetened foods and drinks.
Allergic Reactions
Xylitol Sweetener Side Effects
Learn More
Although extremely rare, erythritol might cause an allergic reaction in some people. A case study published in 2000 in the "Journal of Dermatology" suggests that drinks sweetened with erythritol can potentially cause a severe allergic skin reaction 3. Because food allergies can cause symptoms throughout your body, you should consult your doctor if your experience any negative reactions to foods and drinks containing erythritol.
Related Articles
References
- Center for Science in the Public Interest: Chemical Cuisine
- European Journal of Clinical Nutrition; Gastrointestinal Tolerance of Erythritol and Xylitol Ingested in a Liquid
- The Journal of Dermatology; A Case of Allergic Urticaria Caused by Erythritol
- US National Library of Medicine. MedlinePlus. Sweeteners—Sugars. Reviewed April 20, 2019. Updated March 4, 2020. Bethesda, Md.: U.S. National Library of Medicine U.S. Department of Health and Human Services National Institutes of Health https://medlineplus.gov/ency/article/002444.htm
- Regnat K, Mach RL, Mach-Aigner AR. Erythritol as sweetener-wherefrom and whereto?. Appl Microbiol Biotechnol. 2018;102(2):587–595. doi:10.1007/s00253-017-8654-1
- US Department of Agriculture National Agricultural Laboratory. Food and Nutrition Information Center. Nutritive and nonnutritive sweetener resources. Washington DC: US Department of Agriculture National Agricultural Laboratory. Food and Nutrition Information Center. https://www.nal.usda.gov/fnic/nutritive-and-nonnutritive-sweetener-resources
- Rice T, Zannini E, K arendt E, Coffey A. A review of polyols - biotechnological production, food applications, regulation, labeling and health effects. Crit Rev Food Sci Nutr. 2019;1-18. doi:10.1080/10408398.2019.1625859
- Falony G, Honkala S, Runnel R et al. Long-Term Effect of Erythritol on Dental Caries Development during Childhood: A Posttreatment Survival Analysis. Caries Res. 2016;50(6):579-588. doi:10.1159/000450762
- de Cock P, Mäkinen K, Honkala E, Saag M, Kennepohl E, Eapen A. Erythritol Is More Effective Than Xylitol and Sorbitol in Managing Oral Health Endpoints. Int J Dent. 2016;2016:9868421. doi:10.1155/2016/9868421
- Overduin J, Collet TH, Medic N et al. Failure of Sucrose Replacement With the Non-Nutritive Sweetener Erythritol to Alter GLP-1 or PYY Release or Test Meal Size in Lean or Obese People. Appetite. 2016 Dec 1;107:596-603. doi:10.1016/j.appet.2016.09.009
- Hino H, Kasai S, Hattori N, Kenjo K. A Case of Allergic Urticaria Caused by Erythritol. J Dermatol. 2000 Mar;27(3):163-165. doi:10.1111/j.1346-8138.2000.tb02143.x
- Sharma A, Amarnath S, Thulasimani M, Ramaswamy S. Artificial sweeteners as a sugar substitute: Are they really safe?. Indian J Pharmacol. 2016;48(3):237–240. doi:10.4103/0253-7613.182888
- FamilyDoctor.org. Sugar Substitutes. Leawood, Kansas: American Academy of Family Physicians 2020 https://familydoctor.org/sugar-substitutes
- Shirao K, Inoue M, Tokuda R et al. "Bitter Sweet": A Child Case of Erythritol-Induced Anaphylaxis. Allergol Int. 2013 Jun;62(2):269-271. doi:10.2332allergolint.12-LE-0517
Writer Bio
Matthew Lee has been writing professionally since 2007. Past and current research projects have explored the effect of a diagnosis of breast cancer on lifestyle and mental health and adherence to lifestyle-based (i.e. nutrition and exercise) and drug therapy treatment programs. He holds a Master of Arts in psychology from Carleton University and is working toward his doctorate in health psychology.